Callie Nichole Halstead, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.0002502 Issued in CO

Practice address

2290 E Prospect Rd Ste 4
Fort Collins, CO 80525-9768

Phone

(970) 305-4730

NPI assigned

Jul 13, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1144848458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 KAY ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805010996",
            "telephone_number": "406-698-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 E PROSPECT RD STE 4",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259768",
            "telephone_number": "970-305-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "CALLIE",
        "middle_name": "NICHOLE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0002502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy J Hall, CNM
• Tara Ann Hallahan
• Matthias Haller, COTA/L
• Yukiko Halpin, RN
• Anne Labelle Halseide, PT
• Rebecca A Halstrom, RDH
• Amanda Halverson, CRNA, DNAP
• Sarah Beth Halvorsen, OTD, OTR/L
• Alisha Hamel, LSW
• Joseph P Hamel

• Speech-Language Pathologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.